Organization · Type 2 NPI

Sean Sullivan MS LCPC NCC LLC

Professional Counselor · Rockford, IL

NPI number 1205628682 Active

Practice location

1639 N Alpine Rd Ste 403
Rockford, IL 61107-1440

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	None listed

Professional Counselor: Definition to come...

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Timothy Fredrickson, LCPCProfessional Counselor Rockford, IL NPI 1922073642

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About NPI 1205628682

Sean Sullivan MS LCPC NCC LLC's National Provider Identifier is 1205628682, issued on May 20, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Nov 18, 2025.